| Southeastern Dental Associates Iv, Pa | |
|
1800 N Federal Hwy Suite 103 Pompano Beach FL 33062-1034 | |
| (954) 946-7980 | |
| (954) 946-2206 |
| Full Name | Southeastern Dental Associates Iv, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1800 N Federal Hwy, Pompano Beach, Florida |
| Authorized Official Name and Position | Kenneth D Rubinstein (PRESIDENT/OWNER) |
| Authorized Official Contact | 9549467980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Dental Associates Iv, Pa 1800 N Federal Hwy Suite 103 Pompano Beach FL 33062-1034 Ph: (954) 946-7980 | Southeastern Dental Associates Iv, Pa 1800 N Federal Hwy Suite 103 Pompano Beach FL 33062-1034 Ph: (954) 946-7980 |
| NPI Number | 1699949131 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699949131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN 14485 (Florida) | Primary |
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